Developing an Assessment Protocol in Ayurvedic Research for Hyperemesis Gravidarum with Special Reference to Garbhini Chardi

Year : 2026 | Volume : 15 | Issue : 01 | Page : 44 61
    By

    Shivangi Sanghvi,

  • Shubha Ural,

  1. Research Scholar, Department of Prasooti Tantra Stree Roga, Sri Sri College of Ayurvedic Sciences and Research, Bengaluru, Karnataka, India
  2. Associate Professor, Department of Prasooti Tantra Stree Roga, Sri Sri College of Ayurvedic Sciences and Research, Bengaluru, Karnataka, India

Abstract

Garbhini Chardi (nausea and vomiting in pregnancy) is described in Ayurvedic texts as one of the Vyakta Garbha Lakshanas – early physiological signs indicating pregnancy. However, when this symptom becomes excessive, persistent, or distressing, it may transition from a normal event to a pathological condition, requiring timely intervention to safeguard maternal and fetal health. In advanced stages, it leads to day-to-day incapacitation, weight loss, dehydration, and metabolic disturbances – clinically termed as Hyperemesis Gravidarum (HG). Though relatively uncommon (affecting ~1.66% of pregnancies), HG can significantly impact pregnancy outcomes. In modern obstetrics, assessment of HG typically relies on subjective and semi-objective tools like the PUQE-24 (Pregnancy-Unique Quantification of Emesis) and HELP (Hyperemesis Level Prediction) scores, which are based on patient-reported symptoms such as nausea, vomiting, fatigue, and nutritional intake. While these tools provide clinical guidance, they exhibit lacunae in representing biochemical and systemic changes. To address this, the proposed protocol incorporates objective parameters – hemoglobin levels, serum electrolytes, blood glucose, urine analysis, and a dehydration scale – to complement existing tools and provide a comprehensive evaluation framework. This dual approach strengthens diagnostic accuracy and supports individualized care. Additionally, the protocol explores correlations between HG severity and Ayurvedic Chardi types, which are classified based on symptom quality, frequency, and associated features. Most Ayurvedic studies lack standardized diagnostic tools; hence, this protocol represents a novel attempt to integrate modern scoring systems with Ayurvedic diagnostic reasoning, enhancing methodological rigor and setting a precedent for future integrative research in obstetric care.

Keywords: Diagnostic protocol, Garbhini Chardi, HELP score, hyperemesis gravidarum, objective parameters, pregnancy vomiting, PUQE score

[This article belongs to Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy ]

How to cite this article:
Shivangi Sanghvi, Shubha Ural. Developing an Assessment Protocol in Ayurvedic Research for Hyperemesis Gravidarum with Special Reference to Garbhini Chardi. Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy. 2026; 15(01):44-61.
How to cite this URL:
Shivangi Sanghvi, Shubha Ural. Developing an Assessment Protocol in Ayurvedic Research for Hyperemesis Gravidarum with Special Reference to Garbhini Chardi. Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy. 2026; 15(01):44-61. Available from: https://journals.stmjournals.com/joayush/article=2026/view=238877


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Regular Issue Subscription Review Article
Volume 15
Issue 01
Received 27/12/2025
Accepted 13/02/2026
Published 14/02/2026
Publication Time 49 Days
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